A Case of Pheochromocytoma with Renal Artery Stenosis |
Chang Joo Kim1, Whi Dai Kim1, Sang Man Shin1, Joong Sik Kim1, Dong Won Jun2 |
1Department of Pediatrics,College of Medicine, Kyung Hee Universityt Seoul, Korea 2Jun's Pediatric Clinic |
腎動脈 狹窄症을 同伴한 크롬親和細胞腫 1例 |
金昌周1, 金喜大1, 申相滿1, 金仲植1, 全 東源2 |
1慶熙大學校 醫科大學 小兒科學敎室 2全小兒科 醫院 |
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Abstract |
A case of pheochromocytoma with renal artery stenosis was presented. A 11 year old boy was admitted to our pediatric depart, of KUH with chief complaints of headache and vomiting. Urinaly excretion of VMA was 5.9mg in 24 hour collections. Regitine test was positive but histamine test and BMR were not performed. Abdominal aortogram showed nonvisualization of the left kidney with marked collateral circulation from the mesenteric arteries. Selective left renal angiogram showed marked stenosis at the proximal portion of the main renal artery
with marked delayed excretion of the contrast. After resection of tumor without nephrectomy the blood pressure was stabilized and general symptoms began to improve. Post op. 6th day, an intravenous pyelogram showed normal visualization of the both side kidney. The histological diagnosis was extraadrenal pheochromocy toma
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